The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Case Report

Nipple Adenoma of the Breast: Sonographic Imaging Findings

Authors: Shyam S. Parajuly, MD, Yu-Lan Peng, MD, Meng Zhu, MD, Yang Zhi, Gang MD, Sarvesh Gyawali, MD

Abstract

To the Editor: Nipple adenoma, a rare benign clinicopathologic entity also known as florid papillomatosis and papillary adenoma, is a tumor of the lactiferous ducts that develops in the superficial portion of the nipple. This lesion clinically mimics Paget disease of the nipple, and is often histologically misinterpreted as a ductal carcinoma.1 Herein, we describe the only two cases of nipple adenoma documented in our hospital within the last eight years and highlight their sonographic features, which were clinically and sonographically misdiagnosed as Paget disease.

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References

1. Scott P, Kissin MW, Collins C, et al. Florid papillomatosis of the nipple: a clinico-pathological surgical problem. Eur J Surg Oncol 1991;17:211-213.
 
2. Matsubayashi RN, Adachi A, Yasumori K, et al. Adenoma of the nipple: correlation of magnetic resonance imaging findings with histologic features. J Comput Assist Tomogr 2006;30:148-150.
 
3. Perzin KH, Lattes R. Papillary adenoma of the nipple (florid papillomatosis, adenoma, adenomatosis). A clinicopathologic study. Cancer 1972;29:996-1009.